Physical medicine and rehabilitation clinics of North America
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The evolving shift in focus of burn care and research toward optimizing the long-term outcomes of persons with burn injuries has certainly increased the emphasis on burn reconstruction. There are an increasing number of persons surviving extensive injury who may have long-term reconstructive needs. Burn reconstruction, just as acute burn care, requires a coordinated team approach from initial consultation through recovery and rehabilitation. Clearly, in the future, one can expect evolution in surgical techniques and technologies that can improve the function and appearance of persons with burn injury.
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The goals of burn wound care are removal of nonviable tissue, prevention of infection, and facilitation of wound healing, while controlling pain and maximizing outcome. This article reviews the basic pathophysiology of burn wounds; describes the evaluation of the depth, location, and extent of the wound; and discusses the myriad of wound care products on the market including their strengths and weaknesses. This article guides the reader through wound assessment and designing the appropriate treatment plan.
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Phys Med Rehabil Clin N Am · May 2011
ReviewNeurologic and musculoskeletal complications of burn injuries.
As more people survive burn injuries, there is an increasing focus on managing the complications of burn injuries with the ultimate goal of improving survivors' quality of life. Musculoskeletal and neurologic sequelae are significant complications of burn injury. Electrical injury is a subcategory of burns with multiple musculoskeletal and neurologic complications. Knowledge of these complications helps clinicians provide optimal long-term care for burn survivors and enables survivors to attain maximal recovery.
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Burns are ubiquitous injuries in modern society, with virtually all adults having sustained a burn at some point in their lives. The skin is the largest organ of the body, basically functioning to protect self from non-self. ⋯ Larger burns are associated with morbidity and mortality disproportionate to their initial appearance. Electrical and chemical burns are less common injuries but are often associated with significant morbidity.